Dr Gregory Gerard Decandia, MD | |
1461 South Britain Road, Southbury, CT 06488-0901 | |
(203) 586-2000 | |
Not Available |
Full Name | Dr Gregory Gerard Decandia |
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Gender | Male |
Speciality | Family Medicine |
Location | 1461 South Britain Road, Southbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003890641 | NPI | - | NPPES |
3128075 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 76773 (Massachusetts) | Secondary |
207Q00000X | Family Medicine | 029717 (Connecticut) | Primary |
Entity Name | Genesis Eldercare Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164415196 PECOS PAC ID: 9830002534 Enrollment ID: O20031110000130 |
Entity Name | State Of Connecticut |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467582072 PECOS PAC ID: 8022915677 Enrollment ID: O20031212000803 |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720013360 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000785 |
Entity Name | Gps Physician Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180206000646 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Gerard Decandia, MD 1461 South Britain Road/ P.o. Box 872, Southbury, CT 06488-0901 Ph: (203) 586-2000 | Dr Gregory Gerard Decandia, MD 1461 South Britain Road, Southbury, CT 06488-0901 Ph: (203) 586-2000 |
Dr. Agata Jaskiewicz-poznanska, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Old Waterbury Rd, Southbury, CT 06488 Phone: 203-262-4200 | |
Dr. Kornelia Thomas, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 30 Quaker Farms Rd Ste 1, Southbury, CT 06488 Phone: 203-262-9300 Fax: 203-264-2696 | |
Mrs. Marianne Bette, MD EAAFP Family Medicine Medicare: Medicare Enrolled Practice Location: 77 Main Street North, Southbury, CT 06488 Phone: 203-267-5560 Fax: 203-267-5561 | |
Maria Lementowska, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1461 South Britain Rd, Southbury, CT 06488 Phone: 203-586-2000 Fax: 203-586-2701 | |
Robert Carr, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Old Waterbury Rd, Southbury, CT 06488 Phone: 203-262-4200 | |
Dr. Andrew L Rubman, N.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 Main St S, Southbury, CT 06488 Phone: 203-262-6755 |